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DEMETRIUS RANOD DONSEROUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
19595 IH 10 W, SAN ANTONIO, TX 78257-9520
(210) 698-6868
Mailing address
30258 SETTERFELD CIR, BOERNE, TX 78015-2101
(210) 698-6868

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60509753
WA

Other

Enumeration date
12/17/2018
Last updated
12/17/2018
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